Active NPI
Libby Marie Graef, PHARMD
- Pharmacist
- Swansea, IL
National Provider Identifier
1063015303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051303609
- Practice address
- 2532 N Illinois St
Swansea, IL 62226-2353 - Phone
- (314) 602-1886
- NPI assigned
- Nov 19, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051303609 | IL | Primary |
Addresses
Primary practice location
2532 N Illinois St
Swansea, IL 62226-2353
Mailing address
10725 Brookmere Dr
Saint Louis, MO 63123-3908
Phone (314) 602-1886
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | desktop | WALGREEN CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051303609 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605744000000",
"number": "1063015303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10725 BROOKMERE DR",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631233908",
"telephone_number": "314-602-1886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2532 N ILLINOIS ST",
"city": "SWANSEA",
"state": "IL",
"postal_code": "622262353",
"telephone_number": "314-602-1886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAEF",
"first_name": "LIBBY",
"middle_name": "MARIE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-19",
"last_updated": "2020-11-19",
"certification_date": "2020-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051303609",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "desktop",
"affiliation": "Y",
"affiliationName": "WALGREEN CO",
"address_1": "2532 N Illinois St",
"city": "Swansea",
"state": "IL",
"country_code": "US",
"postal_code": "622262353",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Swansea, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.